Laserfiche WebLink
CITY OF ORONO APPLICATION FOR UTILITY PERMITS <br /> _ _ Box 66 (2750 Kelley Parkway) SEWER/WATER .,� �� <br /> ' Crystal Bay, MN 55323 � � 1 <br /> f <br /> GENERAL INFORMATION <br /> 1. You may apply for utility permits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fees shown below. Pernut cards will be sent by <br /> return mail the same day the application is received. <br /> 3. Permits are not valid until you receive a permit card. <br /> 4. Work must not begin unless the permit card is available on the job site. <br /> 5. Utility connection permits may be issued to licensed contractors only. <br /> 6. Contact the Public Works Department (249-4600) for utitity stub as-built locations. DO NOT EXCAVATE <br /> IN ANY STREET AND DO NOT TAP ANY MAIN without express approval of the Public Works <br /> Departrnent. Issuance of a pernut dces not grant this approval. <br /> 7. All work must be done in accordance with State Code requirements. <br /> 8. All work must be inspected before it is covered. Ca11249-4600. <br /> 24 hour notice required. <br /> Jos siTE An��ss: 1 � S � ���� L'vDD�(� 1� C.�s �'L��I� <br /> Occupancy Type: Residential Commercial <br /> Owner's Name: � ti C � S� � Phone Number: <br /> Mailing Address: � ,,pE 1. �C'J✓' ,)l L:C d� City:���, � �- 7�p:,�� <br /> Contractor's Name: �� � �'i(.1� �/> Phone Number: ' � C�� <br /> Mailing Address: I,�,��� � ^�. City: ('��,�) �JJ 7�; r <br /> PERMIT TYPE <br /> Municipal Sewer Connection ($35.00 per stub) $ �J� 0 � <br /> pipe size inches; material Schedule 40 air tested; cast iron <br /> SAC Charge ($1,050.00) must accompany all sewer permit applications unless prepaid. If not <br /> prepaid, a sewer connection permit will not be issued. <br /> ._._--- <br /> Municipal Water Connection ($35.00 per stub) $ <br /> pipe size inches; material copper; other � <br /> WATER METERS must be picked up and paid for at City Hall. <br /> (5/8" meters= $130.00; 3/4" meters = $180.00; 1" meters= $240.00) <br /> Separate Plumbing Permit issued for water meter. <br /> Water meters must be set and sealed by Orono Water Department(249-4600) upon completion <br /> of ineter installation. <br /> REQUIRED minimum setbacks from drainfield and septic tanks= 75' . <br /> REQUIRED setback from sewer line =20' <br /> PERMIT FEE CALCULATION <br /> 1. Subtotal of above permit requested $ � �-� ��� <br /> 2. State Surchar�e $ .50 <br /> The State Building Code Division Surcharge of$.50 per pernut must be <br /> included for each well,sewer and water connection permit requested. <br /> 3. Postage & Handlin� (Only mail-in applications) $ ��' <br /> 4. TOTAL PERMIT FEE (add lines 1-3 above) $ � -- .� <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and correct. <br /> /_ _�� <br /> .-- �'/� / O-`'/� <br /> Signature of Applicant: � �:� Date:��F� <br /> , <br /> �_ � <br />